Prostatitis or PCA or both?

[4194ujr12r21312]

30yo, frequent urination (sometimes no volume), back ache, both symptoms intermittent. MRI Pirads 2, DRE negative, 20cc some calcifications. Positive culture e faecalis sensitive to levo.

PSA rising even with levo-- from 8-11-9-13. Low %free at one point 5% but also 12% the the next test around.

I did try keto once and symptoms were completely gone. Resumed non keto diet and symptoms came back.

Uro says due to my age and symptoms, its prostatis. On levo, but still PSA is high 13 most recently. With levo sensitive to bacteria found, I thought my PSA should have come down by now.

Could it be rare Pca? Anyone else with similar experience?

[userotc]

No-one on here should try to diagnose but it sounds like the medics are unsure (sadly common for many diagnoses, particularly prostate-related).

Re "Resumed non keto diet and symptoms came back", that may be an indication worth building on. I suggest that you see a qualified Nutritional Therapist that specialises in male health and can send links, if you wish.

[WB36 in reply to userotc]

Agree no one should diagnose themselves and certainly not what someone else is experiencing!! I was 55 but looking back my symptoms existed before that medically I've had 2 biopsies both clear. So other than tamsilousin and possible surgery, which I've been able to delay the surgery for awile, my specialist is a bit lost as to why my psa is also up and down sometimes, note that things will affect your tests so look at the list that spike your psa before testing.

I went to a nutritionist, health food store consultation, and a natural path, again all of this discussed with my Dr's. My GP was most supportive as they have a nutritionist in house to help people for all conditions. I was suprised how much bad stuff I was taking in not just the junk pop chips convenience foods, but also the highly processed dairy (wrong hormones for males) and meat and salts etc. I started by replacing the junk convenience with prostate supportive foods can find lists of them anywhere and through Dr and nutritionist information. Things like tomatoes dark berries nuts pomegranate tumeric saw palmetto Himalayan salt etc. I switched 1 for 1 of poor overly processed and went back to organic butter milk cheese meats but reduced that overall. Occasionally have some bad things but I notice the impacts much sooner so those cravings are mostly gone. The single biggest and most positive change was my natural path suggested was salad dressing of 1 teaspoon apple cider vinegar with 3 teaspoon lemon juice plus 1 teaspoon organic olive oil, since I don't eat salad everyday he suggested as a shooter drink. I gave it 2weeks but found it acidic I stopped but then I started to crave that mixture so I added tumeric powder which reduces acid and added some anti inflammation properties to my digestive system.

I wish I had known all this 10 years before going through all this myself.

My psa sitting around 7-8 but my digestive system feels way better I have not felt the hot itchy and sometimes almost inflamed feelings in my joints, bowls, bladder etc for 3 years.Talk to your Dr do not be afraid to add that nutritionist or natural path it's just positive food changes. Good luck on your path forward.

[userotc in reply to WB36]

Personally I go down the Nutritional Therapy route in place of medics, not alongside. Whilst I don't have BPH, I've found that route offered me much better benefits than primary and secondary medics who quickly gave up anyhow (after causing my male hormone-relsted problem in the first place!).

My dad manages his 12y + BPH via NT only.

Good luck.